MIDWIFERY PRACTICE ASSESSMENT DOCUMENT YEAR 1 · 2019. 9. 27. · Midwifery Practice Assessment...

0 Incorporates the SSSA standards - for use from September 2019

MIDWIFERY PRACTICE ASSESSMENT

DOCUMENT YEAR 1

Practice Learning Competencies for the First Progression Point

BSc (Hons)

Name………………………………………..

Number……………………………………..

Cohort………………………………………

University………………………………….

Academic Assessor ………………………………….

Submission Date(s)………………………

Module Code………………………………

Midwifery Practice Assessment Document

1


2

Contents Page

Guidance for using the Practice Assessment Document (PAD) 3 Components of assessment 4 Process of assessment 5 Document signatories 6 Orientation 10 Year 1 Assessment Planner 11 EU records guidance 12 Glossary of terms 12 Frequently asked questions 13 Antenatal

Initial meeting 15 EU records 16 Antenatal competencies 26 Practice Supervisor and Assessor feedback 29 Expectations of behaviour and performance 36 Formative review 34

Summative assessment 36 Action plans 38 Service user feedback 40 Holistic descriptor 44

Labour and birth Initial meeting 46 EU records 47 Labour and birth competencies 56 Practice Supervisor and Assessor feedback 60 Expectations of behaviour and performance 67 Formative review 68 Summative assessment 70

Action plans 72 Service user feedback 74 Holistic descriptor 75

Postnatal and neonatal Initial meeting 78 EU records 79 Postnatal and neonatal competencies 92 Practice Supervisor and Assessor feedback 97 Expectations of behaviour and performance 101 Formative review 102 Summative assessment 104


Infant feeding Initial meeting 111 UNICEF BFI UK records 112 Infant feeding competencies 117 Practice Supervisor and Assessor feedback 120 Expectations of behaviour and performance 127 Formative review 128 Summative assessment 130


Record of Additional Clinical Skills 136 Record of Short Placement Experience 137 Records of PA observations/meetings/practitioner feedback 141 Record of Practice Hours 144


3

Guidance for using the Practice Assessment Document

Student responsibilities This Practice Assessment Document (PAD) is designed to support and guide you towards successfully achieving the criteria set out in the Standards for pre-registration midwifery education (NMC 2009). The PAD is designed around the NMC Essential Skills Clusters (ESCs) and domains incorporating the UNICEF UK Baby Friendly Initiative (BFI) standards for universities (2014). Successful completion of this PAD will enable you to demonstrate that you have achieved the required competencies of a student midwife at each point in the midwifery programme. The Ongoing Achievement Record (OAR) is a separate document that summarises your achievements in each cluster and, combined with this document, provides a comprehensive record of your professional development and performance in practice. It is your responsibility to complete the self-assessment prior to assessment by your Practice Assessor and to reflect on the feedback given. You will have access to confidential information when in practice placements. You are required to record your EU cases in this document; however it must not contain any woman/service user/carer identifiable information such as name, date of birth or address. The acceptable case identifier will be agreed by your university, please ensure that you are aware of this. The contents of your PAD must not be disclosed to any unauthorised person, photocopied or used outside the placement or university to ensure client confidentiality is maintained.

Practice Supervisor responsibilities When working in clinical practice, students must always be under the direct or indirect supervision of a Practice Supervisor (PS). All Registered Midwives (RMs) can supervise students and must serve as role models for safe and effective practice. Practice Supervisors can assess student competencies and sign EU records. When deciding if the student has demonstrated competence, please consider all sources of evidence that encompass their knowledge, skills, attitudes and the views of those receiving care. PSs are required to regularly complete the Practice Supervisor feedback section to provide written feedback to the student on their progress, which will inform the holistic assessment undertaken by the Practice Assessor (PA). Other registered health care professionals who work with the student and are not RMs may act as Practice Supervisors and contribute to student assessment if they have the knowledge and skill to do so (please see page 4 for details). Students can be provided with feedback to inform the holistic assessment by completing the Practice Supervisor feedback section.

Practice Assessor responsibilities All students must have a nominated Practice Assessor (PA) for a practice placement or series of placements. PAs are required to make and record objective, evidence-based assessments on the knowledge, attitude (professional values) and skill (proficiencies) of the student. The assessment must utilise evidence from PSs, student records, student reflections and other sources such as direct observation. PAs undertake the holistic assessment at both the mid-point and summative point of a placement. The holistic assessment includes the completion of the specified proficiencies, professional values and the award of the holistic descriptor. Students must demonstrate most of the behaviours within the descriptor section for the overall descriptor to be awarded. If the student meets any of the descriptors in the ‘unsatisfactory’ category, you must award them the ‘unsatisfactory’ descriptor. If the student is not meeting the required standards, an action plan should be written, and feedback given at the formative review. If there is a cause for concern or a fitness for practice issue that requires prompt action, seek guidance from the university representative and/or senior practice representative.


4

Academic Assessor responsibilities Students are required to have a nominated Academic Assessor (AA) for each part of their programme. The AA will collate and confirm student achievement for each part of the programme and work in partnership with the PA to evaluate and recommend the student for progression for each part of the programme. Communication between the PA and AA will occur at relevant points during the programme, and may be through the OAR, electronic communication or by meeting in person. The mode of communication will be that which is most appropriate to the student’s situation and performance. For additional information please refer to Standards for Education and Training Part 2: Standards for student supervision and assessment NMC 2018 available at www.nmc.org.uk Components of Assessment Clusters: There are 4 clusters of competencies per year/part:

• Antenatal • Labour and birth • Postnatal and neonatal care • Infant feeding

These clusters can be assessed in a range of placements as part of a continuous assessment process, but all competencies must have been achieved by the end of each year or part of the programme.

Achievement of competencies: Practice Supervisors can indicate that students have achieved competency by signing and dating the appropriate section. When deciding if the student has demonstrated competence, please consider all sources of evidence that encompass their knowledge, skills, attitudes and the views of those receiving care. Practice Supervisor feedback: Written feedback is required from the student’s PS when competencies have been assessed. This feedback provides evidence for the holistic assessment, which must be completed by the student’s nominated PA. Professional values: These form part of the assessment and must all be achieved by the summative assessment of each cluster. Practice supervisors are required to make an assessment of the student’s professional behaviour within the written feedback. If the student fails to meet any of the professional values, they must be awarded the unsatisfactory descriptor and be referred to the PA or AA.

Assessment: The overall summative holistic assessment of the professional values, knowledge, attitude and skills of the student must be assessed by the PA. Formative assessment opportunities should always be offered as these act as a benchmarking process and create the opportunity for the student to self-assess and be given feedback on their performance prior to a summative assessment. This must also be undertaken by the student’s nominated PA. The assessment must utilise evidence from PSs, student records, student reflections and other sources such as direct observation.

Woman receiving care and/or their family feedback form: The PS must seek permission from the woman receiving care and approach them for feedback on the student’s performance. This is not formally assessed but will contribute to the holistic assessment.


5

Process of practice assessment

*Action plans: These should be instigated when there is a cause for concern or fitness for practice issue that requires prompt action. An action plan must involve the PA and the student’s AA. Action plans should follow the SMART principle. They should be: Specific: Refer to the competency or professional value specifically Measurable: State what you want the student to achieve and ensure that you can measure the outcome Achievable: Ensure that what you are expecting is an achievable target Realistic: Check what is expected at each academic level, and that your expectations are realistic Timed: State when you will undertake reassessment

Summative assessment of performance: knowledge, attitude and skills Student completes self-assessment. Student and PA meet to review progress, complete the

holistic assessment and award a final descriptor. PA completes OAR. PAD and OAR are reviewed by the student’s AA.

Sign-off mentor completes the summary in OAR.

Initial meeting Student and PA meet to identify learning needs and practice learning opportunities. A clear

learning plan is identified and dates for assessments set.

Placement orientation This provides specific placement information and health and safety regulations and should be

undertaken on the first day in the placement area. Some aspects of orientation may occur during the first week.

Formative feedback of performance: knowledge, attitude and skills Student completes self-assessment. Student and PA meet to discuss progress and identify learning and development needs. PA completes holistic assessment. If any competencies

have not been achieved a plan should be made to facilitate opportunities for the student. If any concerns are identified an action plan* must be made.

Completion of competencies on a continuous basis The student and PS agree which competencies have been met on an ongoing basis

throughout the placement. Evidence can be gathered from direct observation and discussion. Competencies practised should be recorded in the EU records. Any PS who works with the student may assess competencies.

Assessment Planner The assessment planner should be discussed with the academic representative and placement facilitator at the beginning of the year/part of the programme. A plan should then be made for when and where the assessments will take place.

Prior to placement Student contacts the placement area to obtain relevant information regarding duty rota, working practices, details of PS and PA and considers potential learning opportunities.


6

Document Signatories: Practice Assessors A sample signature must be obtained for each Practice Assessor who signs this document (Practice Assessors will be nominated by their employer and be appropriately prepared for the role)

Name (please print)

Signature Initials Month and year of last update

Practice Area

e.g. May Brown MJBrown MJB May 2019

Community Green team

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16


7

Document Signatories: Practice Supervisors (Registered Midwives) A sample signature must be obtained for each midwife who signs this document

Name (please print)

Signature Initials Date of preparation for supervision or

latest update

Practice Area

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17


8

Document Signatories: Practice Supervisors (Registered Midwives)

A sample signature must be obtained for each midwife who signs this document

Name (please print)

Signature Initials Date of preparation for supervision or

latest update

Practice Area

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34


9

Document Signatories: Registered Healthcare Professionals

A sample signature must be obtained for each registered healthcare professional who signs this document

Name

(please print) Signature Initials Professional

Qualification and Registering body

Practice Area

e.g. Rachel Evans RSEvans RSE RN Adult NMC

HDU, Middleton NHS Trust

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16


10

Orientation Students may be allocated to more than one placement area or may return to the same area at a later point in the year. For all new areas, or upon returning after a significant period of time, please complete an orientation.

Please initial that this has occurred in the relevant boxes and provide the date when the criteria has been completed

Antenatal areas

Labour areas

Postnatal/ Neonatal areas

Community areas

1st 2nd 1st 2nd 1st 2nd 1st 2nd Placement Provider induction/update has been completed, if applicable

The following criteria need to be met within the first day in placement A general orientation to the placement setting has been undertaken for location of equipment/facilities

The local fire procedures have been explained

The student has been shown the: • fire alarms • fire exits • fire extinguishers

Resuscitation policy and equipment for emergency resuscitation of mother/baby have been explained

The student knows how to summon help in the event of an emergency

The student is aware of where to find local policies • health and safety • incident reporting procedures • infection control • handling of messages and enquiries • clinical guidelines

The shift times, meal times and sickness policies have been explained

The student has been given an orientation booklet/sheet if available

The lone working policy has been explained (if applicable)

Risk assessments/reasonable adjustments relating to disability/learning/pregnancy needs have been discussed (where disclosed)

Date all first day criteria completed Please initial and date when complete: The student has been made aware of the moving and handling equipment used in the clinical area

The student has been shown and given a demonstration of the medical devices used in the clinical area

The following criteria need to be met within the first week of placement

The student has been made aware of information governance requirements

The student is aware of the local policy for supply/administration/destruction/surrender of controlled drugs including midwives exemptions

The student is able to identify their Professional Midwifery Advocate (PMA)

The policy regarding safeguarding has been explained

The student understands why materials provided by the formula feeding industry should not be used in the clinical area (BFI UK standard 1)

Date all first week criteria completed

11

Year 1 assessment planner

During year one you are required to complete assessments in the areas outlined below. Discuss your assessment plan with your Placement co-ordinator and academic representative. Use this page to plan when you will undertake your assessments.

Skills cluster Name of Practice

Assessor Practice area and date planned for formative review

Practice area and date planned for summative assessment

Date of review by Academic Assessor

Antenatal care

*Guidance

Completion of approximately 10 antenatal assessments

Completion of approximately 30 antenatal assessments

Labour and birth care

*Guidance Participation in the care of approximately 8 women in labour, and the witness of 5 normal births

Participation in the care of approximately 16 women in labour, and providing care during 5 normal births

Postnatal & neonatal care

*Guidance Completion of approximately 10 postnatal assessments and approximately 10 neonatal assessments

Completion of between 20-32 postnatal assessments and 20-32 neonatal assessments

Infant feeding

*Guidance Participation in 4 episodes of breastfeeding support and 1 other infant feeding activity

Participation in 8 episodes of breastfeeding support and 2 other infant feeding activities

*Guidance for completion: It is useful to consider the amount of experience you have had in a certain area prior to undertaking assessments. The integrated EU requirements record will help you and your supervisors and assessors to identify how much practical experience you have had during your allocation to a clinical area. The suggested numbers for completion are provided for guidance only to facilitate the planning of assessments. The numbers given here represent accumulative totals.

12

The EU requirements at point of registration (Article 40 of Directive 2005/36/EU) include:

• Advising of pregnant women, involving at least 100 antenatal examinations • Supervising and caring for at least 40 women in labour • Performance of episiotomy and initiation into suturing • Personally facilitating at least 40 births • Supervising and caring for 40 women at risk during pregnancy, labour or the postnatal period • Supervising and caring for (including examination) at least 100 postnatal women and at least

100 healthy newborn infants • Active participation with breech births (may be simulated) • Observation and care of the newborn requiring special care, including those born pre-term,

post-term, underweight or ill There may be situations where the care that you provide for a woman fits more than one of the categories above. Record the care given in the appropriate section and highlight any cases where complexity has been identified (see example on p.14)

Antenatal examination

Care in labour

Birth personally facilitated

Postnatal examination

Woman ‘at risk’ during pregnancy, labour or the postnatal period

Client 1 X X pregnancy induced hypertension

Client 2 X X X post-partum haemorrhage

Client 3 X X following recovery prior to transfer

X emergency CS

Definitions of commonly used terms Academic Assessor (AA): This is the person nominated by your university to collate and confirm your achievement of proficiencies (competencies), and overall assessment for each part of your programme. Their name should be on the front of this document. Academic representative: This is the person employed by an Approved Education Institution to support students on midwifery programmes. This may be a link lecturer, personal tutor or module leader. This may be the same person as your Academic Assessor (AA) but it might not be. Placement Co-ordinator: This is the person employed by the NHS Trust to support student midwives in clinical practice and to manage their clinical experience. This role can be undertaken by a people with various job titles, which will vary. This may be the Clinical Placement Facilitator, Practice Development Midwife, Student Co-ordinator or someone in a similar role. Holistic Assessment Descriptors: These represent the levels of performance expected to meet the grading criteria at each academic level. The descriptors describe the knowledge, skill and attitude expected across and between levels. Practice Assessors award a descriptor that matches the student’s performance. This descriptor is then converted into a grade at university level by the AA. Practice Assessor (PA): This is a Registered Midwife who is nominated by the employer, having been appropriately prepared for the role. The PA will complete the holistic assessment at the formative and summative points of the placement. A student may have more than one nominated PA.


13

Practice Supervisor (PS): Registered Midwives (or other registered healthcare professionals) who supervise and support a student in practice. The PS will provide verbal and written feedback to the student. A PS must be a registered healthcare professional and have current knowledge and experience of the area in which they are providing support, supervision and feedback. PSs must be suitably prepared and supported to supervise student midwives. Records of progress from the PS will inform the PA’s holistic assessment of the student’s performance. Ongoing Achievement Record (OAR): This document contains summaries of student achievements in each placement and, with the Practice Assessment Document, forms a comprehensive record of professional development and performance in practice. The OAR enables the PA and AA to confirm that a student is proficient at designated points in the programme. Frequently asked questions/easy reference guide: Who can complete the MPAD/OAR?

If you are unsure – please check with the Academic Representative or Placement co-ordinator in your area

Practice Supervisor (PS) (registered healthcare professional)

Practice Assessor (PA) (nominated and prepared for role)

Academic Assessor (AA) (nominated by the university, different for each part)

Non-registered healthcare

worker e.g. nursery

nurse, support worker

Client or family member

Can I undertake student orientation

Yes Yes If appropriate but unlikely

If appropriate No

Can I complete the initial planning meeting with the student?

No Yes – you should complete this section at the start of each placement

No No No

Can I assess that a student has met a competency statement within an assessment cluster?

Yes – if you have the knowledge and expertise relating to the

competency and understand the

proficiencies and programme outcomes

No – but there are some specific competencies to assess within the

holistic assessment. You cannot act as the

PS and PA for the same student.

No - you cannot act as the AA and PS for the same

student. You might work with a student as a PS

but you cannot be their AA too.

No No

Can I give provide feedback to inform the holistic assessment?

Yes – this is really important to inform the holistic

assessment of the student

Yes – please complete the

additional feedback page at

the back of the document.

No – see above Yes – please complete the

additional feedback page at the back of

the document.

Yes – please complete the service user

feedback form

Should I write an action plan if I am concerned about the student’s performance?

No – if you have concerns, please record them in the feedback section and contact the

PA and AA

Yes - in partnership with

the AA see page 5

Yes - in partnership with

the PA

No – if you have concerns please

record them in the feedback section

and contact the PA and AA

No – please complete the service user

feedback form

Can I complete either holistic assessment?

No Yes No No No

Can I complete the OAR?

No Yes – please do this after

each summative holistic

assessment

Yes – after reviewing the

PAD in partnership with

the PA

No No


14

A

nten

atal

Antenatal


15

A

nten

atal

Antenatal initial meeting This should be completed by the Practice Assessor, ideally during the first week of placement where antenatal care is undertaken, in order to plan the student experience. Practice area ____________________________________________ Name of Practice Assessor____________________________ Student completion: Please comment on your learning needs in relation to the competencies listed on the following pages How can you be helped to learn most effectively?

Practice Assessor completion: Please comment on the learning opportunities available to the student in this allocation with regards to the completion of the competencies and the summative assessment.

Please also note any specific expectations regarding professional behaviour in this practice area:

Planned date for formative review: ______________________ Planned place and date for summative assessment: ________________ Practice Assessor Signature: ___________________ Student Signature: ___________________________ Date ___/___/___ Please complete the details on the assessment planner on page 11

16

A

nten

atal

Record of antenatal assessments personally undertaken Highlight any cases with identified complexity. No. Example

Competencies practised: A4.1, 4.2, 4.3 A4.4, A4.5, A5, A6, A11 Additional information: Due to previous rapid labours requests home birth (A5). Discussed and referred to home birth team (A11). Schedule of visits discussed (A6) and information pack given.

Case identifier: As per University guidelines Gravida/Parity: G3P2 EDD: 22.04.18 Midwife signature: MJBrown Print Name: May Brown

Date: 11.09.17 Gestation:10/40

No. Example

Competencies practised: A10.1, A10.2 A4.1, 4.2, 4.3 A4.4, A4.5, A6 Additional information: History of recurrent miscarriages at 14-16 weeks. History and screening sensitively discussed (A2) Schedule of visits and care management discussed (A6)

Case identifier: As per guidelines

Gravida/Parity: G5P1+3 EDD: 09.09.18 Midwife signature: MJBrown Print Name: May Brown

Date: 02.03.17 Gestation:12/40

No. Competencies practised: Additional information:

Case identifier: Gravida/Parity:

EDD: Midwife signature: Print Name: Date: Gestation:











17

A

nten

atal

Record of antenatal assessments personally undertaken Highlight any cases with identified complexity. No.

Competencies practised: Additional information:


EDD: Midwife signature: Print Name: Date:

















18

A

nten

atal




















19

A

nten

atal














No. Competencies practised: Additional information: Case identifier:

Gravida/Parity:






20

A

nten

atal


Competencies practised: Additional information: Case identifier:

Gravida/Parity:















Gravida/Parity:


21

A

nten

atal






Gravida/Parity:















22

A

nten

atal
















EDD: Midwife: Print Name: Date: Gestation:




23

A

nten

atal





















24

A

nten

atal




















25

A

nten

atal





















26

A

nten

atal

Achievement of Antenatal Competencies The Student Midwife must achieve all the competencies by the summative assessment

Competency must be determined by the Practice Supervisor

Antenatal competencies

Has the Student Midwife achieved the following?

Formative Review Summative Assessment

Yes/No Sign/Date Yes/No Sign/Date A1. The student midwife is able to complete an antenatal consultation accurately ensuring women are at the centre of care. The student midwife:

A1.1 Ensures consent is obtained before any care is initiated

A1.2 Demonstrates an understanding of the ethical principle of valid consent and refusal

A1.3 Assists in determining preferences to maximise an individual approach to care

A1.4 Participates in explaining to women the aim of the initial consultation relevant to gestation

A1.5 Participates in explaining findings in a sensitive manner and encourages women to ask questions

A1.6 Participates in explaining to women lifestyle considerations in relation to diet, smoking and drugs

A1.7 Is able to discuss infant feeding choices with women

A1.8 Is able to promote attachment between the mother and her unborn baby in pregnancy

A2. The student midwife is able to be confident in sharing information about common screening tests. The student midwife: A2.1 Is aware of the NHS Screening Committee programmes that are offered to pregnant women

A2.2 Participates in sharing information with women about common antenatal screening tests

A2.3 Can respect the decision of women to decline services or treatment

A3. The student midwife is able to participate at the first point of contact when women are seeking advice and/or information about being pregnant. The student midwife: A3.1 Knows how and where midwives can be accessed as the first point of contact

A3.2 Participates in the initial interview (booking)

A4. The student midwife is able to monitor the wellbeing of the woman and fetus in the antenatal period, by safely and competently performing and recording the following, showing an awareness of the normal parameters of results: A4.1 Manual blood pressure

A4.2 Maternal pulse

A4.3 Urinalysis

27

A

nten

atal

The Student Midwife must achieve all the competencies by the summative assessment Competency must be determined by the Practice Supervisor




Yes/No Sign/Date Yes/No Sign/Date A4. The student midwife is able to monitor the wellbeing of the woman and fetus in the antenatal period, by safely and competently performing and recording the following, showing an awareness of the normal parameters of results: (continued) A4.4 Abdominal examination including appropriate assessment of fetal growth

A4.5 Auscultation of the fetal heart using a Pinard stethoscope

A4.6 Auscultation of the fetal heart using a hand held doppler

A4.7 Visual observation and discussion of maternal physical and emotional health

A4.8 Demonstrates an understanding of assessment tools used to identify general anxiety disorder (e.g. the ‘Whooley’ questions’)

A5. The student midwife enables women to make choices about their care by informing them of the choices available, and providing evidence-based information about benefits and risks of options, so that women can make a fully informed decision. The student midwife: A5.1 Participates in sharing evidence-based information with women in order for them to make an informed decision about their care

A5.2 Understands and respects the ethical principle of autonomy in women’s decision making

A5.3 Identifies appropriate strategies for information and evidence retrieval in healthcare

A6. The student midwife is able to plan an appropriate individual antenatal care pathway in partnership with the woman referring to other relevant health professionals as required. The student midwife: A6.1 Can demonstrate an understanding of what constitutes the scope of midwifery practice by identifying any deviation from normalcy and referring appropriately

A6.2 Is able to participate in the planning of individual antenatal care in partnership with the woman, in accordance with the latest evidence and local guidelines

A7. The student midwife is able to share information that is clear, accurate and meaningful at a level, which women, their partners and their families can understand. The student midwife: A7.1 Communicates effectively with pregnant women, using a sensitive, woman-centred approach

A7.2 Communicates the needs and wishes of the woman to other professionals

A7.3 Participates in group sessions to share information


28

A

nten

atal

The Student Midwife must achieve all the competencies by the summative assessment

Competency must be determined by the Practice Supervisor




Yes/No Sign/Date Yes/No Sign/Date A8. The student midwife is able to protect and treat as confidential all information relating to the women they care for. The student midwife: A8.1 Can apply the principles of confidentiality as outlined in the NMC Code and Data Protection Act (1988)

A8.2 Treats information as confidential except where sharing information is required for the purposes of safeguarding and/or public protection

A9. The student midwife participates in ensuring that women are treated with dignity and respect for their individuality, working in partnership in a manner that is diversity sensitive and free from discrimination, harassment and exploitation in accordance with the NMC Code. The student midwife: A9.1 Demonstrates that they take a woman-centred approach to care showing respect for others, promoting diversity and individual preferences (which includes: age, culture, religion, spiritual beliefs, disability, gender and sexual orientation)

A10. The student midwife provides care that is given in a warm, sensitive and compassionate way. The student midwife: A10.1 Is attentive and acts with kindness, speaking in a manner that is warm, sensitive, kind and compassionate

A10.2 Is able to initiate a conversation, taking into account the woman’s responses, and can recognise the appropriateness of silence in certain situations

A10.3 Is able to maintain a supportive relationship with women and their families

A11. The student midwife is able to work collaboratively with other health professionals and external agencies. The student midwife: A11.1 Works as an active team member, supporting and assisting others appropriately and in accordance with the NMC code

A11.2 Communicates with colleagues verbally (face-to-face and telephone) in writing, and electronically and checks that the communication has been fully understood

A11.3 Is able to reflect on their own practice and discusses issues with other members of the team to enhance learning

29

A

nten

atal

Practice Supervisor (PS) feedback on student’s performance

Information for students: The following sections are for those with whom you work to record details of your performance. This information will assist your Practice Assessor (PA) to undertake your holistic assessment. This section can be used to highlight areas where you have performed well, or areas where you need to improve, indicating your level of achievement. Information for PS: Please complete the boxes fully, your feedback will contribute to the holistic assessment of the student. The expectations of the student will be clearly stated within the competencies, professional values and holistic descriptor sections of this document. Please ensure that you have given your preferred contact details to enable the student’s Practice Assessor to contact you if necessary.

Practice area: Date: Number of hours worked with the student:

Please comment on the student’s performance and proficiency: Did you obtain service user feedback? Yes / No Please indicate whether the student has met the expected standard of professionalism by referring to the Professional Values on p.36 by placing a üor x in the box below. If the student has not met the professional standard expected, please also circle the ‘Unsatisfactory’ descriptor and contact the student’s PA or AA immediately. Commitment Care Competence Communication Courage Compassion Using the descriptors on p.44 please indicate the level you consider the student has achieved whilst working with you by circling the most accurate descriptor. Excellent Very good Good Satisfactory Unsatisfactory* Name and signature:

Contact details:

*If you have indicated that the student’s performance is unsatisfactory, please contact the student’s PA or AA immediately



Contact details:


30

A

nten

atal




Please comment on the student’s performance and proficiency: Did you obtain service user feedback? Yes / No Please indicate whether the student has met the expected standard of professionalism by referring to the Professional Values on p.36 by placing a ü or x in the box below. If the student has not met the professional standard expected, please also circle the ‘Unsatisfactory’ descriptor and contact the student’s PA or AA immediately. Commitment Care Competence Communication Courage Compassion Using the descriptors on p.44 please indicate the level you consider the student has achieved whilst working with you by circling the most accurate descriptor. Excellent Very good Good Satisfactory Unsatisfactory* Name and signature:

Contact details:




Contact details:

31

A

nten

atal





Contact details:




Contact details:


32

A

nten

atal





Contact details:




Contact details:

33

A

nten

atal





Contact details:




Contact details:


34

A

nten

atal





Contact details:




Contact details:

35

A

nten

atal





Contact details:

*If you have indicated that the student’s performance is unsatisfactory, please contact the student’s PA or AA immediately.



Contact details:


36

A

nten

atal

Expectations of student professional behaviour and performance

Professional values Commitment The student has maintained an appropriate professional attitude regarding

punctuality and personal presentation that upholds the standard expected of a midwife, in accordance with the organisation and university policies.

Care The student has made a consistent effort to engage in their learning in order to contribute to high quality, evidence-based, woman-centred maternity care.

Competence

The student has recognised and worked within the limitations of their own knowledge, skills and professional boundaries. The student has demonstrated the ability to listen, seek clarification and carry out instructions safely in order to contribute to positive health outcomes for women and the best start in life for babies.

Communication

The student has demonstrated that they can communicate clearly and consistently with colleagues, women and their families. The student has worked effectively within the multi-disciplinary team with the intent of building professional caring relationships.

Courage

The student has demonstrated openness, trustworthiness and integrity, ensuring the woman is the focus of care.

Compassion The student has contributed to the provision of holistic, responsive and compassionate midwifery care with an emphasis on respect, dignity and kindness.

Level 4: Summary credit level descriptors (adapted from SEEC Credit Descriptors for Higher Education 2016) Operational context

Student is able to adapt to a range of varied but predictable contexts that require the use of knowledge, competencies and professional values as stated in this document. They are able to work effectively with others and recognises the factors that affect team performance.

Autonomy and responsibility for actions

The student recognises limits of knowledge and competence, always practices under direction or supervision and takes responsibility for the nature and quality of own practice.

Knowledge and understanding

The student has a basic understanding of the knowledge base and its terminology or discourse. The student appreciates that areas of this knowledge base are open to ongoing debate and reformulation.

Ethical awareness and application

The student demonstrates an awareness of ethical issues and is able to discuss these in relation to personal beliefs and values. Practices in accordance with The Code.

Personal evaluation and development

The student is aware of own capabilities in key areas and engages in continuous development activity through guided self-direction.

Interpersonal and communication skills

Uses interpersonal and communication skills to clarify tasks and identify and rectify issues in a range of contexts.

37

A

nten

atal

Formative review Student reflection – to be completed prior to meeting with Practice Assessor Describe the practice area:

What knowledge did you need to plan and deliver care in this area?

What knowledge do you need to develop further? How will you do this? Which competencies in this cluster do you need to develop before the summative assessment? What will you do to achieve this?

Which of the six professional values do you most need to develop and how will you do this?

What have you enjoyed most about providing care in this area?

What has been the most challenging aspect?

Having reflected on the feedback from your Practice Supervisors, and women that you have cared for (or their families), do you have any additional comments to make regarding your development during this allocation? Refer to the holistic assessment descriptors (on page 44) and sign the column that you feel most describes your practice. Which descriptor did you give yourself? Use this space to add your reflection following feedback from your Practice Assessor at the formative review: Student signature: Date:


38

A

nten

atal

Formative review Practice Assessor to complete Please review the student’s achievement of practice (EU record documentation), competency outcomes, Practice Supervisor feedback records, service user feedback and the student’s written reflection. Have you been made aware of any concerns regarding the student’s knowledge, skills or attitude? Yes* / No Has an action plan been completed? Yes* / No Comments: Skills: review of cluster competencies Have all competencies been achieved? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at the summative assessment? Knowledge: ascertain knowledge base Please select a case documented in the EU records to discuss with the student to confirm their knowledge and application of the expected knowledge and skills within this cluster. Do you have any concerns about the student’s knowledge base? Yes* / No *If ‘Yes’ please complete an action plan to enable the student to achieve at the summative assessment? Attitude: review feedback on professional behaviour Please review the records from the student’s Practice Supervisors. Has the student maintained the expected professional values? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at the summative assessment? Please assess the following competency through discussion with the student A9.2 The student midwife participates in ensuring that women are treated with dignity and respect for their individuality, working in partnership in a manner that is diversity sensitive and free from discrimination, harassment and exploitation in accordance with the NMC Code. The student midwife is able to identify factors which maintain the dignity of women, making use of the environment, self, skills and attitude. Achieved / Not achieved* Comments: Holistic Assessment: Please complete the holistic descriptor on p.44 Which descriptor did you award? *If you have answered any section where the response has an *, or the student has not achieved A9.2 please contact the Academic Assessor. Name of Academic Assessor: Date contacted: I confirm that we have reviewed the available evidence and discussed current achievement and progress. Practice Assessor signature: Date: Student midwife signature: Date:

39

A

nten

atal

Summative Assessment Student reflection – to be completed prior to meeting with Practice Assessor Describe the practice area:

What knowledge did you demonstrate during the planning and delivery of care in this area?

What knowledge do you need to develop further? How will you do this? In which competencies do you feel most skilled?

Which of the six professional values do you most need to develop and why is this important?



Having reflected on the feedback from your Practice Assessor at your formative review, your Practice Supervisors, and the women that you have cared for (or their families), do you have any additional comments to make regarding your development during this allocation?

Refer to the holistic assessment descriptors (on page 44) and sign the column that you feel most describes your practice. Which descriptor did you give yourself? Use this space to add your reflection following feedback from your Practice Assessor at your summative assessment: Student signature: Date:


40

A

nten

atal

Summative Assessment

Practice Assessor to complete Please review the student’s achievement of practice (EU record documentation), competency outcomes, Practice Supervisor feedback records, service user feedback and the student’s written reflection. Have you been made aware of any concerns regarding the student’s knowledge, skills or attitude? Yes* / No If any action plans were written, are they now achieved? Yes / No* Comments:

Skills: review of cluster competencies Have all competencies been achieved? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve during a retrieval placement. Knowledge: ascertain knowledge base Please select a case documented in the EU records to discuss with the student to confirm their knowledge and application of the expected knowledge and skills within this cluster. Do you have any concerns about the student’s knowledge base? Yes* / No *If ‘Yes’ please complete an action plan to enable the student to achieve during a retrieval placement. Attitude: review feedback on professional behaviour Please review the records from the student’s PS. Has the student maintained the expected professional values? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at during a retrieval placement? Please assess the following competency through discussion with the student A9.2 The student midwife participates in ensuring that women are treated with dignity and respect for their individuality, working in partnership in a manner that is diversity sensitive and free from discrimination, harassment and exploitation in accordance with the NMC Code. The student midwife is able to identify factors which maintain the dignity of women, making use of the environment, self, skills and attitude. Achieved / Not achieved* Comments: Holistic Assessment: Please complete the holistic descriptor on p.44 Which descriptor did you award? *If you have answered any section where the response has an*, or the student has not achieved A9.2 please contact the Academic Assessor Name of Academic Assessor: Date contacted: I have filled in my details on document signatory page

The student and I have checked the record of practice hours

I have completed the OAR

Additional comments: Practice Assessor signature: Date: Student midwife signature: Date:

41

A

nten

atal

Action Plan An Action Plan is required when a student’s performance causes concern. The Practice Assessor must escalate to the Placement co-ordinator and Academic Assessor when an action plan is required/generated. The SMART principles should be used to construct the plan (see page 5).

Placement area:

Names of those present at meeting: Date agreed for review: (Timed)

Nature of concern: Refer to Competency or Professional value (Specific), state the reason for concern and/or why competency has not been achieved.

What measures can the student take to ensure the expectations are met (Measurable)? Ensure an appropriate level of expectation – refer to the expectations at the student’s academic and professional level (Achievable and Realistic)

Practice Assessor name and signature: Date:

Student signature: Date:

Placement co-ordinator contacted: Name of Academic Assessor contacted:

Review Meeting Date:

Outcome of meeting: Plan outcomes Achieved / Not Achieved

Practice Assessor name and signature:

Student signature: Academic Assessor name and signature:


42

A

nten

atal


Placement area:











43

A

nten

atal

Woman receiving care and/or their family feedback

Practice supervisors should obtain consent from women/their families Your views about the way the student midwife has looked after you are important.

• Your feedback will help the student midwife’s learning • The feedback you give will not change the way you are looked after • You do not need to participate

What did the student midwife do well?

Is there anything the student midwife could have done to make your experience better? Thank you for your help. Please sign here if you wish (optional): Midwife name and signature: Date:

This form has been developed by Maternity Service Users based on a form originally designed by Services Users 2013

Tick if you are: Woman receiving care Family member/partner How happy were you with the way the student midwife:

Very Happy

Happy

I’m not sure

Unhappy

Very unhappy

• cared for you?

• cared for your baby?

• listened to your needs?

• understood the way you felt?

• talked to you?

• showed you respect?


44

A

nten

atal

Holistic assessment descriptors Level 4 (Year 1) Excellent Very good Good Satisfactory Unsatisfactory

The student demonstrates a highly professional approach at all times*, and provides safe, sensitive, woman focused care. The student is able to demonstrate excellent detailed and comprehensive knowledge of the evidence and policies that relate to this cluster. The student is consistently self-directed in seeking new knowledge. The student always shows insightful application of theory to practice. The student is able to undertake the competencies within this cluster competently with distant supervision. The student uses their initiative appropriately at all times, and responds very positively to feedback.

The student demonstrates a professional approach at all times*, and provides safe, sensitive, woman focused care. The student demonstrates very good knowledge of the evidence and concepts that relate to this cluster. The student is usually self-directed in seeking new knowledge. The student shows evidence of linking theory and practice. The student can safely undertake the competencies in this cluster with distant supervision but may seek occasional prompts. The student uses their initiative appropriately in most situations and responds positively to feedback.

The student demonstrates a professional approach most of the time*, and provides safe, sensitive, woman focused care. The student is able to demonstrate good knowledge of the evidence relating to this cluster. The student responds to prompts to seek new knowledge. The student usually makes links between theory and practice. The student can safely undertake the competencies in this cluster with close supervision. The student may lack some confidence and seeks frequent prompts for actions. The student uses their initiative appropriately in known situations and responds positively to feedback.

The student is developing a professional approach but may need guidance at times*. The student provides safe, sensitive, woman focused care. The student is able to demonstrate a basic knowledge of the evidence relating to this cluster that is generally accurate. The student requires frequent prompting to seek new knowledge, but responds appropriately. The student is developing the ability to link theory and practice but needs support to do this. The student can safely undertake the competencies in this cluster with close supervision and direction. The student may require frequent prompts for actions. The student may show some initiative appropriately in known situations and responds to feedback.

The student does not demonstrate a professional approach. Evidence of the provision of safe, sensitive, woman focused care is limited. The student is not able to demonstrate a basic knowledge of the evidence or policies relating to this cluster. The student requires constant prompting to seek new knowledge, but does not always respond appropriately. The student seems unable to make the link between theory and practice. The student is unable to safely undertake the competencies in this cluster even with close supervision and direction. The student may require continual prompts for actions. The student may not have demonstrated using their initiative even in known situations and may not have responded to feedback. Th

e st

uden

t is

expe

cted

to m

eet t

he m

ajor

ity, b

ut n

ot n

eces

saril

y al

l of

the

desc

ripto

rs to

be

awar

ded

the

grad

e ap

prop

riate

to th

e le

vel o

f pe

rfor

man

ce. *

If th

e st

uden

t has

not

met

any

of t

he p

rofe

ssio

nal

valu

es, t

he ‘

unsa

tisfa

ctor

y’ d

escr

ipto

r mus

t be

awar

ded.

Formative review Student signature Practice Assessor signature

Summative assessment Student signature Practice Assessor signature

45

A

nten

atal


46

Labo

ur a

nd b

irth

Labour and birth


47

Labo

ur a

nd b

irth

Labour and birth initial meeting This should be completed by the Practice Assessor, ideally during the first week of placement where intrapartum care is undertaken, in order to plan the student experience. Practice area ____________________________________________ Name of Practice Assessor____________________________ Student completion: Please comment on your learning needs in relation to the competencies listed on the following pages How can you be helped to learn most effectively?




48

Labo

ur a

nd b

irth

Record of women who you have personally supported to birth their babies Highlight any cases where complexity has been identified. No. Competencies practised:

Information:


EDD: Midwife’s signature: Print Name: Date: Gestation:

No. Competencies practised: Information:
















49

Labo

ur a

nd b

irth


Information:




Case identifier:

Gravida/Parity:














50

Labo

ur a

nd b

irth


Information:




Case identifier:

Gravida/Parity:















51

Labo

ur a

nd b

irth

Record of women cared for during labour Highlight any cases where complexity has been identified. No. Competencies practised:

Information:




Case identifier:

Gravida/Parity:














52

Labo

ur a

nd b

irth


Information:




Case identifier:

Gravida/Parity:















53

Labo

ur a

nd b

irth


Information:




Case identifier:

Gravida/Parity:














54

Labo

ur a

nd b

irth


Information:



















55

Labo

ur a

nd b

irth


Information:

















EDD: Midwife’s signature: Print Name: Date:

56

Labo

ur a

nd b

irth

Achievement of Labour and Birth Competencies

The Student Midwife must achieve all the competencies by the summative assessment Competence must be determined by the Practice Supervisor

Labour and birth competencies



Yes/No Sign/Date Yes/No Sign/Date LB1. The student midwife is able to work in partnership with women to facilitate a birth environment that supports their needs. The student midwife:

LB1.1 Ensures a woman-centred approach, and is sensitive to cultural and social factors when providing care for women

LB1.2 Ensures privacy and dignity in providing safe and sensitive care

LB1.3 Seeks consent from the woman prior to care being given, ensuring that the meaning of consent is understood by the woman

LB1.4 Respects the rights of women, and incorporates birth plans or written instructions that identify the wishes of women, in all care provided

LB1.5 Participates in ‘being with women’ during their labour and birth

LB1.6 Participates in changing the physical environment to meet the needs of women, such as lighting, furniture, temperature

LB1.7 Respects the use of silence LB2. The student midwife is attentive to the comfort needs of women before, during and after birth. The student midwife: LB2.1 Participates in ensuring the comfort needs of women are met, such as: • Bladder care

• Appropriate hydration • Nutritional intake • Hygiene requirements • Prevention of infection LB2.2 Participates in working with women to determine their coping strategies in order to support their preferences for pain management including: • mobilisation and use of active birth positions

• therapeutic use of water • use of relaxation and breathing techniques


57

Labo

ur a

nd b

irth





Yes/No Sign/Date Yes/No Sign/Date LB3. The student midwife is able to determine the onset of labour. The student midwife:

LB3.1 Participates in using observation, history taking and clinical assessment to determine the onset of labour

LB4. The student midwife is able to determine the wellbeing of women and their unborn babies. The student midwife: LB4.1 Is able to accurately take and record the following maternal vital signs with an awareness of normal parameters: • Pulse

• Respiratory rate • Temperature • Blood pressure LB4.2 Is able to accurately observe and record the following indicators of fetal wellbeing with an awareness of normal parameters: • assessment of liquor volume and colour

• intermittent auscultation of the fetal heart using a Pinard stethoscope

• intermittent auscultation of the fetal heart using a hand held doppler device

LB5. The student midwife is able to keep accurate labour and birth records in accordance with local and NMC standards. The student midwife: LB5.1 Is able to assist in keeping accurate labour and birth records which include planning, implementation and evaluation of care, interventions and findings using appropriate professional language

LB5.2 Participates in accurate completion of intrapartum charts, such as a partogram

LB6. The student midwife is able to measure, assess and facilitate the progress of normal labour. The student midwife: LB6.1 Can participate in assessing the progress of labour, recognising the latent and active phases of labour and birth by: • observation of behaviour

• abdominal examination

• vaginal examination where indicated and appropriate

LB6.2 Can participate in informing women sensitively about their progress, giving feedback in a positive manner that the woman understands.

58

Labo

ur a

nd b

irth





Yes/No Sign/Date Yes/No Sign/Date LB6. The student midwife is able to measure, assess and facilitate the progress of normal labour. (continued) The student midwife: LB6.3 Can assist in supporting women to use a variety of birthing aids to facilitate normal labour and birth such as birthing balls, birth seats/chairs, pools

LB6.4 Demonstrates awareness of a range of commonly recognised approaches to supporting women throughout childbirth e.g. relaxation, distraction, complementary therapies

LB7. The student midwife is able to participate in supporting women and their partners in the birth of their babies. The student midwife: LB7.1 Can recognise the importance of offering choices related to birth and responds accordingly

LB7.2 Can assist in preparing necessary equipment for the birth

LB 7.3 Can safely assist the mother at the point of birth

LB8. The student midwife is able to participate in facilitating the mother and baby to remain together. The student midwife: LB8.1 Assists in assessing the wellbeing of the baby following birth by monitoring:

• colour

• tone

• heart rate

• breathing

• response to stimuli

LB8.2 Assists in assessing the wellbeing of the mother following birth by monitoring and recording vital signs

LB8.3 Supports mothers to have skin contact with their baby in a safe and unhurried environment, leading to feeding when the baby is ready

LB8.4 Delays any unnecessary separation of mother and baby, avoiding early routine procedures such as weighing

LB9. The student midwife is able to identify and safely manage appropriate emergency procedures. The student midwife: LB9.1 Can assist in procedures related to adult resuscitation (this may be through participation in ‘drills and skills’ or clinically based adult resuscitation simulation)


59

Labo

ur a

nd b

irth


*Neonatal medication administered in the immediate postnatal period e.g. vitamin K may be recorded in the Postnatal and neonatal cluster, competency P10




Yes/No Sign/Date Yes/No Sign/Date LB9. The student midwife is able to identify and safely manage appropriate emergency procedures. (continued) The student midwife: LB9.2 Can assist in procedures related to neonatal resuscitation (this may be through participation in ‘drills and skills’ or clinically based neonatal resuscitation simulation)

LB9.3 Is confident in initiating basic emergency call procedures relevant to local policy

LB10. The student midwife is able to work collaboratively with other practitioners when supporting women during labour. The student midwife: LB10.1 Demonstrates an understanding of the role of other professionals during labour and birth and acts in accordance with the guidance in the NMC Code

*LB11. The student midwife is able to participate in the supply and administration of medicinal products in a safe and timely manner (including controlled drugs), when providing labour and birth care. The student midwife: LB11.1 Competently undertakes the calculation of medicinal products used in normal midwifery practice for the management of labour and birth

LB11.2 Works within the NMC Standards for Medicines Management (2007) and Midwives Exemptions (2012)

LB11.3 Safely administers medication under direct supervision

• orally

• by inhalation

• by injection

LB11.4 Safely utilises and disposes of equipment needed to prepare and administer medication e.g. needles, syringes, gloves

LB11.5 Demonstrates an understanding of the professional responsibility in maintaining accurate medication records

LB11.7 Is able to access commonly used evidence-based sources of information relating to the safe administration of medicines

LB11.8 Applies knowledge of local policies to safe storage, transport and disposal of medicinal products (including controlled drugs)

60

Labo

ur a

nd b

irth





Contact details:




Contact details:


61

Labo

ur a

nd b

irth





Contact details:




Contact details:

62

Labo

ur a

nd b

irth





Contact details:




Contact details:


63

Labo

ur a

nd b

irth





Contact details:




Contact details:

64

Labo

ur a

nd b

irth





Contact details:




Contact details:


65

Labo

ur a

nd b

irth





Contact details:




Contact details:

66

Labo

ur a

nd b

irth





Contact details:




Contact details:


67

Labo

ur a

nd b

irth





Competence


Communication


Courage















68

Labo

ur a

nd b

irth









69

Labo

ur a

nd b

irth

Formative review Practice Assessor to complete Please review the student’s achievement of practice (EU record documentation), competency outcomes, Practice Supervisor feedback records, service user feedback and the student’s written reflection. Have you been made aware of any concerns regarding the student’s knowledge, skills or attitude? Yes* / No Has an action plan been completed? Yes* / No Comments: Skills: review of cluster competencies Have all competencies been achieved? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at the summative assessment? Knowledge: ascertain knowledge base Please select a case documented in the EU records to discuss with the student to confirm their knowledge and application of the expected knowledge and skills within this cluster. Do you have any concerns about the student’s knowledge base? Yes* / No *If ‘Yes’ please complete an action plan to enable the student to achieve at the summative assessment? Attitude: review feedback on professional behaviour Please review the records from the student’s Practice Supervisors. Has the student maintained the expected professional values? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at the summative assessment? Please assess the following competency through discussion with the student LB11.6 The student understands and works within the legal framework of Midwives Exemptions for the administration of medicines. Achieved / Not achieved* Comments: Holistic Assessment: Please complete the holistic descriptor on p.75 Which descriptor did you award? *If you have answered any section where the response has an *, or the student has not achieved LB11.6 please contact the Academic Assessor. Name of Academic Assessor: Date contacted: I confirm that we have reviewed the available evidence and discussed current achievement and progress. Practice Assessor signature: Date: Student midwife signature: Date:

70

Labo

ur a

nd b

irth










71

Labo

ur a

nd b

irth

Summative Assessment Practice Assessor to complete Please review the student’s achievement of practice (EU record documentation), competency outcomes, Practice Supervisor feedback records, service user feedback and the student’s written reflection. Have you been made aware of any concerns regarding the student’s knowledge, skills or attitude? Yes* / No If any action plans were written, are they now achieved? Yes / No* Comments:

Skills: review of cluster competencies Have all competencies been achieved? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve during a retrieval placement. Knowledge: ascertain knowledge base Please select a case documented in the EU records to discuss with the student to confirm their knowledge and application of the expected knowledge and skills within this cluster. Do you have any concerns about the student’s knowledge base? Yes* / No *If ‘Yes’ please complete an action plan to enable the student to achieve during a retrieval placement. Attitude: review feedback on professional behaviour Please review the records from the student’s PS. Has the student maintained the expected professional values? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at during a retrieval placement? Please assess the following competency through discussion with the student LB11.6 The student understands and works within the legal framework of Midwives Exemptions for the administration of medicines. Achieved / Not achieved* Comments: Holistic Assessment: Please complete the holistic descriptor on p.75 Which descriptor did you award? *If you have answered any section where the response has an*, or the student has not achieved LB11.6 please contact the Academic Assessor Name of Academic Assessor: Date contacted: I have filled in my details on document signatory page




72

Labo

ur a

nd b

irth


Placement area:












73

Labo

ur a

nd b

irth


Placement area:











74

Labo

ur a

nd b

irth

Woman receiving care and/or their family feedback Practice supervisors should obtain consent from women/their families

Your views about the way the student midwife has looked after you are important.






Very Happy

Happy

I’m not sure

Unhappy

Very unhappy

• cared for you?




• talked to you?



75

Labo

ur a

nd b

irth







e st

uden

t is

expe

cted

to m

eet t

he m

ajor

ity, b

ut n

ot n

eces

saril

y al

l of

the

desc

ripto

rs to

be

awar

ded

the

grad

e ap

prop

riate

to th

e le

vel o

f pe

rfor

man

ce. *

If th

e st

uden

t has

not

met

any

of t

he p

rofe

ssio

nal

valu

es, t

he ‘

unsa

tisfa

ctor

y’ d

escr

ipto

r mus

t be

awar

ded.




76

Po

stna

tal a

nd n

eona

tal

Postnatal and neonatal


77

Po

stna

tal a

nd n

eona

tal

Postnatal and neonatal initial meeting This should be completed by the Practice Assessor, ideally during the first week of placement where postnatal and neonatal care is undertaken, in order to plan the student experience. Practice area ____________________________________________ Name of Practice Assessor____________________________ Student completion: Please comment on your learning needs in relation to the competencies listed on the following pages How can you be helped to learn most effectively?



Planned date for formative review: ______________________ Planned place and date for summative assessment: ________________ Practice Assessor Signature: ___________________ Student Signature: ___________________________ Date ___/___/___

Please complete the details on the assessment planner on page 11


78

Po

stna

tal a

nd n

eona

tal

Record of mother and baby pairs cared for in the postnatal period. Highlight any cases where complexity has been identified. No. Competencies practised:

Mother’s Information:



No. Competencies practised: Baby’s Information:

Case identifier: Mode of birth:

DOB: Midwife’s signature: Print Name: Date: Birth weight:

No. Competencies practised: Mother’s Information:













79

Po

stna

tal a

nd n

eona

tal

Record of mother and baby pairs cared for in the postnatal period Highlight any cases where complexity has been identified. No. Competencies practised:




















80

Po

stna

tal a

nd n

eona

tal





















81

Po

stna

tal a

nd n

eona

tal





















82

Po

stna

tal a

nd n

eona

tal





















83

Po

stna

tal a

nd n

eona

tal





















84

Po

stna

tal a

nd n

eona

tal





















85

Po

stna

tal a

nd n

eona

tal





















86

Po

stna

tal a

nd n

eona

tal

Record of women cared for in the postnatal period Highlight any cases where complexity has been identified. No. Competencies practised:

Information:


DD: Midwife’s signature: Print Name: Date: Gestation:











Case identifier: Parity:






87

Po

stna

tal a

nd n

eona

tal


Information:













Case identifier: Gravida/Parity: DD: Midwife’s signature: Print Name:

Date: Gestation: No. Competencies practised:

Information:




88

Po

stna

tal a

nd n

eona

tal


Information:



















89

Po

stna

tal a

nd n

eona

tal

Record of neonatal assessments personally undertaken Highlight any cases where complexity has been identified. No. Competencies practised:

Information:

Case identifier:

Date of birth:

Mode of birth:

Birth weight: Midwife’s signature: Print Name: Date:


Case identifier:

Date of birth: Mode of birth: Birth weight:

Midwife’s signature: Print Name: Date:


Case identifier:




Case identifier:




Case identifier:




90

Po

stna

tal a

nd n

eona

tal


Information:

Case identifier:

Date of birth:

Mode of birth:



Case identifier:




Case identifier:




Case identifier:




Case identifier:




91

Po

stna

tal a

nd n

eona

tal


Information:

Case identifier:

Date of birth:

Mode of birth:



Case identifier:



No. Information:

Case identifier:




Case identifier:




Case identifier:




92

Po

stna

tal a

nd n

eona

tal

Achievement of Postnatal and Neonatal Competencies


Postnatal and neonatal competencies



Yes/No Sign/Date Yes/No Sign/Date P1. The student midwife is able to work in partnership with women and other care providers to provide seamless care and interventions in the postnatal period. The student midwife:

P1.1 Can demonstrate practice that is consistent with the NMC Code when supporting women in the postnatal period

P1.2 Works alongside other healthcare professionals in planning and providing postnatal care

P2. The student midwife is able to participate in planning safe, evidence-based care for women in the postnatal period. The student midwife: P2.1 Ensures care is appropriate to the woman’s assessed needs, context and culture

P2.2 Demonstrates an awareness of the underpinning evidence base of postnatal care

P2.3 Contributes to a documented, individualised postnatal care plan developed with the woman which includes relevant factors from the antenatal, intrapartum and immediate postnatal period

P3. The student midwife is able to provide woman-centred care with kindness, dignity and respect. The student midwife: P3.1 Sensitively participates in discussions with women about their birth experiences and care they received during labour

P3.2 Ensures consent is gained prior to care being given and that the meaning of consent is understood by the woman

P3.3 Cares for women in a kind, sensitive and compassionate manner

P4. The student midwife is able to participate in providing safe, evidence-based care for the woman in the postnatal period. The student midwife: P4.1 Participates in the full physical postnatal assessment of the woman

P4.2 Participates in the assessment of maternal mental well-being identifying normal patterns of emotional changes in the postnatal period

P4.4 Participates in appropriate pain management in the postnatal period

P4.5 Practises in a manner that prevents and controls infection


93

Po

stna

tal a

nd n

eona

tal

The Student Midwife must achieve all the competencies by the summative assessment

Competence must be determined by the Practice Supervisor




Yes/No Sign/Date Yes/No Sign/Date P5. The student midwife is able to contribute to the assessment and care of women with complex needs in the postnatal period. The student midwife: P5.1 Participates in the vital signs monitoring of women who have complex needs in the postnatal period, recognising the normal parameters of results

P5.2 Accurately charts vital signs on an appropriate chart/record

P5.3 Assists in providing post-operative care for women who have had vaginal assisted/operative births and caesarean sections

P5.4 Appreciates adverse emotional changes e.g. anxiety, depression and psychosis and responds appropriately

P5.5 Understands the role of the family and primary care practitioners and specialists (e.g. Health Visitors, GPs and psychiatrists) in the support of women with mental health conditions

P6. The student midwife is able to contribute to the provision of appropriate health promotion information in the postnatal period. The student midwife: P6.1 Participates in offering consistent information and clear explanations to empower the woman to take care of her own health, including information regarding signs and symptoms that require emergency medical care

P6.2 Participates in facilitating discussion about future reproductive choices

P6.3 Shares information about the importance of secure mother and infant attachment on health and emotional wellbeing

P7. The student midwife is able to participate in safe medicines management in the postnatal period. The student midwife: P7.1 Demonstrates an understanding of the legal and ethical frameworks relating to medicines administration

P7.2 Competently undertakes the calculation of medicinal products used in normal postnatal care

P7.3 Safely administers medication to women under direct supervision

• orally

• by injection (intramuscular or subcutaneous)

P7.4 Safely disposes of equipment needed to prepare and administer medication

P7.5 Accurately completes medication records and charts

P7.6 Participates in involving women in the self-administration of medicinal products


94

Po

stna

tal a

nd n

eona

tal





Yes/No Sign/Date Yes/No Sign/Date P7. The student midwife is able to participate in safe medicines management in the postnatal period. (continued) The student midwife: P7.7 Demonstrates an ability to store medicinal products safely

P7.8 Is able to access commonly used evidence-based sources of information relating to the safe administration of medicines

P7.9 Is able to undertake a medicines history under supervision

P8. The student midwife is able to participate in providing safe, evidence-based care for the neonate. The student midwife: P8.1 Ensures care is appropriate to the neonate’s assessed needs, context and culture

P8.2 Applies an evidence-based approach to the provision of neonatal care

P8.3 Contributes to a documented, individualised neonatal care plan developed with the mother, which includes relevant factors from the antenatal, intrapartum and immediate postnatal period

P8.4 With supervision, ensures that parental consent is always sought and understood prior to undertaking any neonatal care

P8.5 Can participate in undertaking the full daily neonatal assessment

P8.6 Recognises symptoms that may require discussion, intervention or referral

P8.7 Contributes to accurate, legible and timely records of neonatal care

P9. The student midwife is able to contribute to the provision of appropriate health promotion information and care in the neonatal period. The student midwife: P9.1 Offers consistent information and clear explanations to empower the mother to get to know her baby, recognise and respond to their needs. This should include infant hygiene, sleeping, safety, child development and recognising infant ill health

P9.2 Participates in sharing accurate and contemporary information with parents to enable choices regarding neonatal screening

P9.3 Participates safely and appropriately in neonatal screening procedures

*P10. The student midwife is able to participate in safe medicines management in the neonatal period. The student midwife: P10.1 Demonstrates an understanding of the legal and ethical frameworks relating to medicines administration

P10.2 Competently undertakes the calculation of medicinal products used in normal neonatal care

P10.3 Safely administers medication to neonates under direct supervision


95

Po

stna

tal a

nd n

eona

tal


*This competency may be completed in the immediate care of the neonate after birth, for example the administration of vitamin K




Yes/No Sign/Date Yes/No Sign/Date *P10. The student midwife is able to participate in safe medicines management in the neonatal period. (continued) The student midwife: P10.4 Safely disposes of equipment needed to prepare and administer medication

P10.5 Accurately completes medication records and charts


96

Po

stna

tal a

nd n

eona

tal





Contact details:




Contact details:


97

Po

stna

tal a

nd n

eona

tal





Contact details:




Contact details:


98

Po

stna

tal a

nd n

eona

tal





Contact details:




Contact details:


99

Po

stna

tal a

nd n

eona

tal





Contact details:




Contact details:


100

Po

stna

tal a

nd n

eona

tal




Please comment on the student’s performance and proficiency: Did you obtain service user feedback? Yes / No Please indicate whether the student has met the expected standard of professionalism by referring to the Professional Values on p.101by placing a üor x in the box below. If the student has not met the professional standard expected, please also circle the ‘Unsatisfactory’ descriptor and contact the student’s PA or AA immediately. Commitment Care Competence Communication Courage Compassion Using the descriptors on p.109 please indicate the level you consider the student has achieved whilst working with you by circling the most accurate descriptor. Excellent Very good Good Satisfactory Unsatisfactory* Name and signature:

Contact details:




Contact details:


101

Po

stna

tal a

nd n

eona

tal





Competence


Communication


Courage
















102

Po

stna

tal a

nd n

eona

tal









103

Po

stna

tal a

nd n

eona

tal

Formative review Practice Assessor to complete Please review the student’s achievement of practice (EU record documentation), competency outcomes, Practice Supervisor feedback records, service user feedback and the student’s written reflection. Have you been made aware of any concerns regarding the student’s knowledge, skills or attitude? Yes* / No Has an action plan been completed? Yes* / No Comments: Skills: review of cluster competencies Have all competencies been achieved? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at the summative assessment? Knowledge: ascertain knowledge base Please select a case documented in the EU records to discuss with the student to confirm their knowledge and application of the expected knowledge and skills within this cluster. Do you have any concerns about the student’s knowledge base? Yes* / No *If ‘Yes’ please complete an action plan to enable the student to achieve at the summative assessment? Attitude: review feedback on professional behaviour Please review the records from the student’s Practice Supervisors. Has the student maintained the expected professional values? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at the summative assessment? Please assess the following competency through discussion with the student P4.3 The student midwife recognises signs and symptoms in the mother and neonate that may require discussion, intervention or referral during the postnatal period. Achieved / Not achieved* Comments: Holistic Assessment: Please complete the holistic descriptor on p.109 Which descriptor did you award? *If you have answered any section where the response has an *, or the student has not achieved P4.3 please contact the Academic Assessor. Name of Academic Assessor: Date contacted: I confirm that we have reviewed the available evidence and discussed current achievement and progress. Practice Assessor signature: Date: Student midwife signature: Date:


104

Po

stna

tal a

nd n

eona

tal










105

Po

stna

tal a

nd n

eona

tal


Skills: review of cluster competencies Have all competencies been achieved? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve during a retrieval placement. Knowledge: ascertain knowledge base Please select a case documented in the EU records to discuss with the student to confirm their knowledge and application of the expected knowledge and skills within this cluster. Do you have any concerns about the student’s knowledge base? Yes* / No *If ‘Yes’ please complete an action plan to enable the student to achieve during a retrieval placement. Attitude: review feedback on professional behaviour Please review the records from the student’s PS. Has the student maintained the expected professional values? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at during a retrieval placement? Please assess the following competency through discussion with the student P4.3 The student midwife recognises signs and symptoms in the mother and neonate that may require discussion, intervention or referral during the postnatal period. Achieved / Not achieved* Comments: Holistic Assessment: Please complete the holistic descriptor on p.109 Which descriptor did you award? *If you have answered any section where the response has an*, or the student has not achieved P4.3 please contact the Academic Assessor Name of Academic Assessor: Date contacted: I have filled in my details on document signatory page





106

Po

stna

tal a

nd n

eona

tal


Placement area:












107

Po

stna

tal a

nd n

eona

tal

Action Plan

An Action Plan is required when a student’s performance causes concern. The Practice Assessor must escalate to the Placement co-ordinator and Academic Assessor when an action plan is required/generated. The SMART principles should be used to construct the plan (see page 5).

Placement area:












108

Po

stna

tal a

nd n

eona

tal

Woman receiving care and/or their family feedback

Practice supervisors should obtain consent from women/their families Your views about the way the student midwife has looked after you are important.






Very Happy

Happy

I’m not sure

Unhappy

Very unhappy

• cared for you?




• talked to you?



109

Po

stna

tal a

nd n

eona

tal







e st

uden

t is

expe

cted

to m

eet t

he m

ajor

ity, b

ut n

ot n

eces

saril

y al

l of

the

desc

ripto

rs to

be

awar

ded

the

grad

e ap

prop

riate

to th

e le

vel o

f pe

rfor

man

ce. *

If th

e st

uden

t has

not

met

any

of t

he p

rofe

ssio

nal

valu

es, t

he ‘

unsa

tisfa

ctor

y’ d

escr

ipto

r mus

t be

awar

ded.




110

Infa

nt fe

edin

g

Infant feeding


111

Midw

ifery Practice A ssessment D

ocument

Infa

nt fe

edin

g

Infant feeding initial meeting This should be completed by the Practice Assessor, ideally during the first week of placement where infant feeding is undertaken, in order to plan the student experience. Practice area ____________________________________________ Name of Practice Assessor____________________________ Student completion: Please comment on your learning needs in relation to the competencies listed on the following pages How can you be helped to learn most effectively?





112

Infa

nt fe

edin

g

Record of complete breastfeeds observed No. Competencies practised:

Information: Case

identifier: Gestation of baby:


No. Competencies practised: Information: Case













113

Midw


ocument

Infa

nt fe

edin

g

Record of complete breastfeeds observed No. Competencies practised:

Information: Case
















114

Infa

nt fe

edin

g

Record of supporting mothers to hand express their breast milk No. Competencies practised:

Information: Case

identifier: Midwife’s signature: Print Name:

Date:


identifier:



identifier:



identifier:



identifier:



115

Midw


ocument

Infa

nt fe

edin

g

Record of supporting mothers to hand express their breast milk No. Competencies practised:

Information: Case


Date:


identifier:



identifier:



identifier:



identifier:



116

Infa

nt fe

edin

g

Record of supporting mothers with breastfeeding challenges No. Competencies practised:

Information: Case


Date:


identifier:



identifier:


Record of supporting mother to feed responsively with infant formula No. Competencies practised:

Information: Case

identifier:



identifier:



117

Midw


ocument

Infa

nt fe

edin

g

Achievement of Infant Feeding Competencies


Infant feeding competencies



Yes/No Sign/Date Yes/No Sign/Date IF1. The student midwife participates in sharing evidence-based infant feeding information through woman-led conversations. The student midwife: IF1.1 Participates in sensitive woman-led conversations regarding the anatomy of the breast and the physiology of lactation to enable mothers to get breastfeeding off to a good start and to continue for as long as they wish

IF1.2 Is developing communication skills of listening, watching for, and responding to verbal and non-verbal cues from the mother when sharing infant feeding information

IF1.3 Is developing the skills of being attentive, using open ended questions, asking a mother what she already knows and how she feels, in order to respond to her needs accordingly

IF1.4 Participates in forums where information is shared with women about infant feeding

IF1.5 Participates sensitively in discussions about the importance of breast milk and breastfeeding on the health and wellbeing of mothers and babies

IF1.6 Participates in accurate record keeping relating to breastfeeding, including plans of care and any challenges encountered or referrals made

IF1.7 Is able to assess whether breastfeeding is effective using a breastfeeding assessment form, communicates the findings with the mother to enhance her confidence and documents the details accurately

IF1.8 Is aware of where and how up-to-date evidence-based information can be accessed

IF1.9 Is able to support a mother to sterilise equipment and make up a formula feed safely

IF 1.10 Recognises the importance of giving mothers impartial information on infant milks based on the evidence i.e. the use of first milks only

IF2. The student midwife is able to respect social and cultural factors that may influence the decision to breastfeed. The student midwife: IF2.1 Has an awareness of UK culture and their own thoughts and feelings about infant feeding methods to enable the provision of ethical, accurate and non-judgemental information

IF2.2 Is sensitive to issues of diversity and demonstrates an understanding of the influences and constraints on women’s infant feeding choices


118

Infa

nt fe

edin

g





Yes/No Sign/Date Yes/No Sign/Date IF2. The student midwife is able to respect social and cultural factors that may influence the decision to breastfeed. (continued) The student midwife: IF 2.3 Supports a mother to maintain lactation and breastfeeding in challenging circumstances e.g. when she is separated from her baby

IF2.4 Respects the rights of women in the choices they make regarding infant feeding

IF3. The student midwife is able to support women to breastfeed successfully. The student midwife: IF3.1 Is willing to learn from the women they care for regarding infant feeding

IF3.2 Participates in care that supports mothers to keep their babies close and respond to their cues for feeding and comfort

IF3.3 Recognises effective positioning, attachment, suckling and milk transfer and participates in supporting women to recognise this for themselves

IF3.4 Participates in conversations with women regarding the importance of early skin-to-skin contact on the wellbeing of their baby and themselves, and on the establishment of breastfeeding and relationship building

IF3.5 Recognises common complications of breastfeeding, how they arise and demonstrates how women may be helped to avoid them

IF4. The student midwife is able to recognise appropriate neonatal growth and development, including where referral for further advice/action is required. The student midwife: IF4.1 Participates in assessing the general health and development of the neonate

IF4.2 Participates in assessing the growth of the neonate using appropriate calculations and centile charts

IF4.3 Discusses with women the findings of their baby’s assessments and examinations in a manner that they understand

IF4.4 Demonstrates an understanding of when referral is required and to whom

IF5. The student midwife is able to work collaboratively with other practitioners and external agencies. The student midwife: IF5.1 Practises within the limitations of their own competence, knowledge and sphere of professional practice and NMC Code

IF5.2 Works actively as a team member, valuing others’ roles and responsibilities to ensure the needs of women are met

IF5.3 Shares information about community-based support networks, and recognises the importance of these for both women and professionals


119

Midw


ocument

Infa

nt fe

edin

g





Yes/No Sign/Date Yes/No Sign/Date IF6. The student midwife is able to support mothers and babies in developing secure attachment that promotes emotional and physical health and wellbeing regardless of the method of feeding. The student midwife: IF6.1 Participates in providing care that helps the mother to recognise her baby’s cues for responsive feeding and comfort

IF6.2 Participates in providing care that recognises the importance of closeness between mother and baby, including skin-to-skin contact to promote the release of oxytocin and reduce stress hormones

IF6.3 Demonstrates an understanding of the need to share information sensitively with parents regarding limiting the number of people who bottle-feed their baby to ensure secure attachment

IF7. The student midwife is able to support women to breastfeed in challenging circumstances. The student midwife: IF7.1 Demonstrates an understanding of the circumstances that can affect lactation and breastfeeding (e.g. prematurity, at risk babies) to facilitate successful breastfeeding and is sensitive to the woman and her partner’s needs

IF7.2 Participates in teaching women how to hand express their breast milk

IF7.3 Participates in sharing accurate information regarding the storage of breast milk

IF8. The student midwife is able to identify the actions, risks and benefits of medicinal products in relation to lactation and the effects on the neonate. The student midwife: IF8.1 Participates in conversations with women regarding the risks versus benefits of medication in relation to lactation

IF8.2 Participates in conversations with breastfeeding mothers regarding the risks versus benefits of medication in relation to the baby

IF8.3 Demonstrates an understanding of where and how to seek up-to-date information regarding medicinal products and breastfeeding


120

Infa

nt fe

edin

g





Contact details:




Contact details:


121

Midw


ocument

Infa

nt fe

edin

g





Contact details:




Contact details:


122

Infa

nt fe

edin

g





Contact details:




Contact details:


123

Midw


ocument

Infa

nt fe

edin

g





Contact details:




Contact details:


124

Infa

nt fe

edin

g





Contact details:




Contact details:


125

Midw


ocument

Infa

nt fe

edin

g





Contact details:




Contact details:


126

Infa

nt fe

edin

g





Contact details:

*If you have indicated that the student’s performance is unsatisfactory, please contact the student’s PA or AA immediatel



Contact details:


127

Midw


ocument

Infa

nt fe

edin

g





Competence


Communication


Courage
















128

Infa

nt fe

edin

g







Having reflected on the feedback from your Practice Supervisors, and women that you have cared for (or their families), do you have any additional comments to make regarding your development during this allocation? Refer to the holistic assessment descriptors (on page 135 and sign the column that you feel most describes your practice. Which descriptor did you give yourself? Use this space to add your reflection following feedback from your Practice Assessor at the formative review: Student signature: Date:


129

Midw


ocument

Infa

nt fe

edin

g

Formative review Practice Assessor to complete Please review the student’s achievement of practice (EU record documentation), competency outcomes, Practice Supervisor feedback records, service user feedback and the student’s written reflection. Have you been made aware of any concerns regarding the student’s knowledge, skills or attitude? Yes* / No Has an action plan been completed? Yes* / No Comments: Skills: review of cluster competencies Have all competencies been achieved? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at the summative assessment? Knowledge: ascertain knowledge base Please select a case documented in the EU records to discuss with the student to confirm their knowledge and application of the expected knowledge and skills within this cluster. Do you have any concerns about the student’s knowledge base? Yes* / No *If ‘Yes’ please complete an action plan to enable the student to achieve at the summative assessment? Attitude: review feedback on professional behaviour Please review the records from the student’s Practice Supervisors. Has the student maintained the expected professional values? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at the summative assessment? Please assess the following competency through discussion with the student IF6. The student midwife knows how to support mothers and babies in developing secure attachment that promotes emotional and physical health and wellbeing regardless of the method of feeding. Achieved / Not achieved* Comments: Holistic Assessment: Please complete the holistic descriptor on p.135 Which descriptor did you award? *If you have answered any section where the response has an *, or the student has not achieved IF6 please contact the Academic Assessor. Name of Academic Assessor: Date contacted: I confirm that we have reviewed the available evidence and discussed current achievement and progress. Practice Assessor signature: Date: Student midwife signature: Date:


130

Infa

nt fe

edin

g










131

Midw


ocument

Infa

nt fe

edin

g


Skills: review of cluster competencies Have all competencies been achieved? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve during a retrieval placement. Knowledge: ascertain knowledge base Please select a case documented in the EU records to discuss with the student to confirm their knowledge and application of the expected knowledge and skills within this cluster. Do you have any concerns about the student’s knowledge base? Yes* / No *If ‘Yes’ please complete an action plan to enable the student to achieve during a retrieval placement. Attitude: review feedback on professional behaviour Please review the records from the student’s PS. Has the student maintained the expected professional values? Yes / No* *If ‘No’ please complete an action plan to enable the student to achieve at during a retrieval placement? Please assess the following competency through discussion with the student IF6. The student midwife knows how to support mothers and babies in developing secure attachment that promotes emotional and physical health and wellbeing regardless of the method of feeding. Achieved / Not achieved* Comments: Holistic Assessment: Please complete the holistic descriptor on p.135 Which descriptor did you award? *If you have answered any section where the response has an*, or the student has not achieved IF6 please contact the Academic Assessor Name of Academic Assessor: Date contacted: I have filled in my details on document signatory page





132

Infa

nt fe

edin

g


Placement area:












133

Midw


ocument

Infa

nt fe

edin

g

Action Plan

An Action Plan is required when a student’s performance causes concern. The Practice Assessor must escalate to the Placement co-ordinator and Academic Assessor when an action plan is required/generated. The SMART principles should be used to construct the plan (see page 5).

Placement area:












134

Infa

nt fe

edin

g

Woman receiving care and/or their family feedback Practice supervisors should obtain consent from women/their families

Your views about the way the student midwife has looked after you are important.






Very Happy

Happy

I’m not sure

Unhappy

Very unhappy

• cared for you?




• talked to you?



135

Midw


ocument

Infa

nt fe

edin

g







e st

uden

t is

expe

cted

to m

eet t

he m

ajor

ity, b

ut n

ot n

eces

saril

y al

l of

the

desc

ripto

rs to

be

awar

ded

the

grad

e ap

prop

riate

to th

e le

vel o

f pe

rfor

man

ce. *

If th

e st

uden

t has

not

met

any

of t

he p

rofe

ssio

nal

valu

es, t

he ‘

unsa

tisfa

ctor

y’ d

escr

ipto

r mus

t be

awar

ded.



136

Record of additional clinical skills This is an opportunity for the Student Midwife to record additional clinical skills that they have

practised under supervision

Date Clinical Skill Comments Signature

137

Record of short placement experience

Date and details of experience:

Time spent (days/hours):

Student reflection on learning:

Practitioner comments Please refer to the professional values on page 129 Practitioner’s Signature and date:


138







139







140







141

Records of Practice Assessor observations/meetings/practitioner feedback This page may be completed by any practitioner or academic representative

Date/ time

Signature/ Designation

Comments

142


Date/ time


Comments


143


Date/ time


Comments


144

To be completed in accordance with university requirements RECORD OF PRACTICE HOURS

Please ensure all details are printed CLEARLY and sickness days identified. All alterations and totals should be initialled by the practice supervisor you have been working with.

Day Date Placement Total

Hrs Signature

of PS Shift Type

Date Placement Total Hrs

Signature of PS

Shift Type

Example of hours confirmation Sun 1/7/13 Pixie Ward 7.5 FFalaney E

Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun

Weekly Total = Weekly Total =

Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Total hours completed on this page:

Declaration by Student: I confirm that the hours recorded on this sheet are a true and accurate account of the shifts I have worked. Signed: _________ (Student) Date: It is expected that the student will work a range of shifts to meet NMC requirements including weekends.

Shift Codes

E = Early L = Late D = Day shift LD = Long Day ND = Night Duty S = Sickness A= Absent TMU= Time Made Up


145




Hrs Signature

of PS Shift Type


Signature of PS

Shift Type


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun



Declaration by Student: I confirm that the hours recorded on this sheet are a true and accurate account of the shifts I have worked. Signed: _________ (Student) Date: It is expected that the student will work a range of shifts to meet NMC requirements including weekends.

Shift Codes



146




Hrs Signature

of PS Shift Type


Signature of PS

Shift Type


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun



Declaration by Student: I confirm that the hours recorded on this sheet are a true and accurate account of the shifts I have worked. Signed:____________________________ (Student) Date: It is expected that the student will work a range of shifts to meet NMC requirements including weekends.

Shift Codes



147




Hrs Signature

of PS Shift Type


Signature of PS

Shift Type


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun




Shift Codes



148




Hrs Signature

of PS Shift Type


Signature of PS

Shift Type


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun




Shift Codes



149




Hrs Signature

of PS Shift Type


Signature of PS

Shift Type


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun


Mon Mon

Tue Tue

Wed Wed

Thu Thu

Fri Fri

Sat Sat

Sun Sun




Shift Codes



150

This MPAD document has been developed by the Midwifery Pan London Steering Group in collaboration with practice partners, mentors, academic staff, students and service users across the London Region.

Membership of the Midwifery Pan London Practice Education Advisory Group

Judith Sunderland Lead Midwife for Education, City University London (Chair) Stacy Andrews Clinical Placement Facilitator, University Hospital Lewisham Sam Bassett Lead Midwife for Education, King’s College London

Heather Bower Lead Midwife for Education, University of Greenwich Helen Crafter Senior Lecturer, University of West London Lindsey Morgan Senior Lecturer, Canterbury Christchurch University Lindsay Gillman Associate Professor, Kingston University & St George’s University of London (Consultant)

Cathy Hamilton Lead Midwife for Education, University of Hertfordshire Clare Maher Lead Midwife for Education, Middlesex University Jayne Marshall Lead Midwife for Education, University of Leicester Kit Oriakhi Midwifery Placement Facilitator, Barking, Havering & Redbridge University Hospitals NHS Trust Priti Patel Senior Lecturer, London South Bank University Georgina Sims Lead Midwife for Education, Kingston University & St George’s University of London

The development of this document was funded by Health Education North Central and East London, Health Education North West London and Health Education South London. Project Manager: Jane Fish

© MPLPAD 2019 All rights reserved. No part of this work may be photocopied, recorded or otherwise reproduced without the prior permission of the Midwifery Pan London Practice Advisory Group. Please contact [email protected] (Chair of the Midwifery Pan London Practice Advisory Group) for further information.

MIDWIFERY PRACTICE ASSESSMENT DOCUMENT YEAR 1 · 2019. 9. 27. · Midwifery Practice Assessment...

Documents

Transcript of MIDWIFERY PRACTICE ASSESSMENT DOCUMENT YEAR 1 · 2019. 9. 27. · Midwifery Practice Assessment...